GLOBAL HEALTH
Educating Triage Nurses in Rural Haiti to Manage Children in Respiratory Distress
GLOBAL HEALTH
Katharine A. Osborn MD1, Robin Horak MD2 1Department
of Pediatric, University of California, San Francisco, CA
Background
2 Medical
Director of Klinik Timoun Nou Yo, No Time For Poverty
Methods
Results
150 cases of pneumonia per 1,000 infants and children in Haiti
Educational intervention
Second leading cause of death in children
Reviewed clinical scenarios and demonstrating proper use of pulse oximeters, administration of oxygen, and bag-mask ventilation
TB, pertussis and asthma are also a significant burden on the strained medical system
Test administered before and after the session
8 nurses underwent the training 8/8 failed the pretest and 5/8 passed the post-test 3 who failed the post-test underwent an additional review session and passed 1 follow-up checklist completed 4 months after the educational session
Pre and Post Intervention Knowledge
Immediate treatment of children in respiratory distress is crucial to their survival
9 8 7
Pediatric triage nurses must feel comfortable assessing children in respiratory distress and empowered to initiate management
6 5
Passed
4
Failed
3
Dr. Robin Horak of Klinik Timoun Nou You (Our Children’s Clinic) in rural Haiti found that this was not the case
2
Oxygen was correctly started on a child with oxygen saturation
GLOBAL HEALTH
Katharine A. Osborn MD1, Robin Horak MD2 1Department
of Pediatric, University of California, San Francisco, CA
Background
2 Medical
Director of Klinik Timoun Nou Yo, No Time For Poverty
Methods
Results
150 cases of pneumonia per 1,000 infants and children in Haiti
Educational intervention
Second leading cause of death in children
Reviewed clinical scenarios and demonstrating proper use of pulse oximeters, administration of oxygen, and bag-mask ventilation
TB, pertussis and asthma are also a significant burden on the strained medical system
Test administered before and after the session
8 nurses underwent the training 8/8 failed the pretest and 5/8 passed the post-test 3 who failed the post-test underwent an additional review session and passed 1 follow-up checklist completed 4 months after the educational session
Pre and Post Intervention Knowledge
Immediate treatment of children in respiratory distress is crucial to their survival
9 8 7
Pediatric triage nurses must feel comfortable assessing children in respiratory distress and empowered to initiate management
6 5
Passed
4
Failed
3
Dr. Robin Horak of Klinik Timoun Nou You (Our Children’s Clinic) in rural Haiti found that this was not the case
2
Oxygen was correctly started on a child with oxygen saturation
